当前位置: 首页 > 期刊 > 《中国矫形外科杂志》 > 2005年第23期
编号:10871424
颈前路治疗脊髓型颈椎病的手术选择
http://www.100md.com 《中国矫形外科杂志》 2005年第23期
脊髓型颈椎病,,脊髓型颈椎病;手术;治疗,1临床资料,2结果,3讨论,参考文献:
     摘要:[目的]探讨了32例脊髓型颈椎病(CSM)患者行颈前路手术的选择。[方法]]对32例非手术治疗无效的脊髓型颈椎病患者,根据临床和影像学因素选择实施不同的颈前路手术,分别行单间隙椎间盘切除融合术、椎体次全切除减压融合固定术、椎体次全切+单间隙椎间盘切除融合术、2个椎体节段的椎体次全切,其中2例3节段的CSM患者Ⅱ期行颈后路椎板切除融合内固定术。[结果]32例术后随访2~28 a,平均22 a。术后按贾连顺的临床功能评估示优良率为9375%。[结论]须根据CSM患者的临床和影像学因素采用不同的颈前路手术,对多节段病变的患者必要时Ⅱ期辅以颈后路手术。

    关键词:脊髓型颈椎病;手术;治疗

    Surgical selection of anterior approachs for cervical spondylotic myelopathy∥TAN Junming,YE Xiaojian,YUAN Wen,et al

    Department of Orthopaedics,The 98th Hospital of PLA,Huzhou,Zhejiang 313000

    Abstract:[Objective]To discuss the surgical selection of anterior approachs for cervical spondylotic myelopathy(CSM)in 32 cases[Method]Thirtytwo cases of CSM without responding to nonoperative treatment were managed to different types of surgical techniques by anterior approch according to each patients specific clinical and radiographic scenarioAnterior decompression procedures consists of anterior cervical discectomy and fusion(ACDF),onelevel or twolevel corpectomy,hybrid ACDF and corpectomy procedures and two singlelevel corpectomies separated by a noncorpectomy levelTwo patients with threelevel disease had been performed posterior laminectomy and segmental fusion after 6 months of anterior procedure[Result]The duration of followup averaged 22 years(ranged,2~28 years)According to Jias criteria of functional assessment,9375% satisfactory rate was obtained[Conclusion]Selection of the appropriately anterior decompression and fusion is based on a complete understanding of the factors responsible for patients clinical situations and imaging resultsThe addition of posterior segmental fusion to an anterior decompression and fusion procedure should be considered in cases of multilevel(three or more)diseases of CSM with two stages of 6month intervals when necessary ......

您现在查看是摘要页,全文长 10529 字符